JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES, LLC


Address: 3 Crescent Dr Ste 1002, Philadelphia, PA 19112-1016
Phone: 2155034900

JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES, LLC (NPI# 1063067635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063067635
Entity Type Organization
Organization Name JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES, LLC
Practice Address 3 Crescent Dr Ste 1002
Philadelphia
PA 19112-1016
Mailing Address 840 Crescent Centre Dr Ste 200
Franklin
TN 37067-4652
Practice Telephone 2155034900
Practice Fax Number 2155034921
Mailing Telephone 6152612306
Mailing Fax Number 6155506004
Enumeration Date 2019-08-09
Last Update Date 2019-08-09
Authorized Official Name WILLIAM PERRY BAKER (SECRETARY)
Authorized Official Telephone 6155506044
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Jefferson Outpatient Imaging Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1225678352 Jefferson University Radiology Associates, LLC Radiology 243 Hurffville Crosskeys Rd, Sewell, NJ 08080-4011 2020-01-07
1972169902 Jefferson University Radiology Associates, LLC Radiology 999 Nj-73, # 101, Marlton, NJ 08053 2019-05-15
1902114168 Jefferson University Radiology Associates, LLC Physiological Laboratory 1 W Germantown Pike, East Norriton, PA 19401-1513 2010-09-21
1710492764 Jefferson University Radiology Associates, LLC Radiology 650 Carnegie Boulevard, Malvern, PA 19355-1935 2017-12-12
1104376797 Jefferson University Radiology Associates, LLC Radiology 9601 Bustleton Ave, Philadelphia, PA 19115-3810 2016-10-07
1083907364 Jefferson University Radiology Associates, LLC Radiology 1 W Germantown Pike, East Norriton, PA 19401-1513 2011-05-19
1144559444 Jefferson University Radiology Associates, LLC Radiology 470 John Young Way, Suite #100, Exton, PA 19341-2557 2009-12-15
1275718561 Jefferson University Radiology Associates, LLC Radiology 170 N Henderson Rd, Suites 103 & 104, King of Prussia, PA 19406-2155 2008-01-04

Office Location

Street Address 3 CRESCENT DR STE 1002
City PHILADELPHIA
State PA
Zip Code 19112-1016

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265950802 M&m Surgical Center PC Clinic/Center 1 Crescent Dr. Suite 300, Philadelphia, PA 19112 2017-09-05
1710114293 Riverview Surgery Center At The Navy Yard Lp Clinic/Center Three Crescent Drive, Navy Yard Corporate Center, Philadelphia, PA 19112 2009-06-11
1023136942 Susan Elizabeth Fredericks Physician Assistant 1 Crescent Drive Suite 100, Navy Yard Corporate Center, Philadelphia, PA 19112 2007-03-27
1023132867 Healthmark, Incorporated Clinic/Center 1 Crescent Dr., Navy Yard Suite 100, Philadelphia, PA 19112 2007-03-19
1932526258 Anne Catherine Kane Otolaryngology 3 Crescent Dr, Philadelphia, PA 19112 2014-03-25
1255539896 Sheldon Gottlieb Physical Medicine & Rehabilitation 1 Crescent Dr, Suite 100, Philadelphia, PA 19112 2007-07-05
1407074750 Jennifer L Johansen Pharmacist 5 Crescent Dr, Ny0200, Philadelphia, PA 19112-1001 2007-04-23
1679981708 Andrew Trofa Internal Medicine 5 Crescent Dr, Ny 0300, Philadelphia, PA 19112-1001 2014-08-01
1508029463 Robert Williams Carr Preventive Medicine 5 Crescent Dr, Ny 0300, Philadelphia, PA 19112-1001 2008-07-09
1952947152 Navy Yard Dental Associates, Pllc Dentist 1 Crescent Dr Ste 300, Philadelphia, PA 19112-1015 2019-11-22
Find all providers in zip 19112

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033649975 Dinh-huy Do Nguyen Radiology 5501 Old York Rd Ste 363, Philadelphia, PA 19141-3018 2017-06-13
1467809418 Jeffrey Burgess Radiology 1215 Spruce St Apt 201, Philadelphia, PA 19107-5620 2016-05-19
1649632399 Myron Blumberg Radiology 317 S 22nd St, Philadelphia, PA 19103-6528 2016-03-22
1144633074 Daniel Robert Wahl Radiology 3400 Spruce Street - 1 Silverstein, Department of Radiology / Abdominal Imaging, Philadelphia, PA 19104 2014-06-09
1235564337 Ron Benjamin Radiology 2055 E Fletcher St, Philadelphia, PA 19125 2013-09-08
1831454867 Ryan Michael Bonshock Radiology 4220 Market St Fl 2, Philadelphia, PA 19104-3007 2012-07-05
1730498601 Robert A Perkins Jr. Radiology 132 S 10th St Ste 1099j, Philadelphia, PA 19107-5244 2010-09-27
1457677007 Michael Richard Acord Radiology 3401 Civic Blvd, Division of Radiology, Philadelphia, PA 19104 2010-04-07
1780918375 Mollie Mcginley Radiology 1835 Arch St, Apartment 305, Philadelphia, PA 19103-2712 2009-09-29
1093942229 Michael William Tieff Radiology 1901 Jfk Blvd, Apt 1903, Philadelphia, PA 19103-1502 2009-06-15
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19112

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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